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. citizens and non•citizen nationals abroad. More information on the Routine Uses for the system can be found in System of Records Notices State•05. Overseas Citizen Services Records and State-26. Passport Records. DISCLOSURE: Providing your Social Security number and the other information on this form is voluntary, but failure
111 11 For Issuing Office Only —0 , Bk Fee Cd Fee. EF Postage Other. DS-82 08-2013 Page I of 2 EFTA00296110 Name of Applicant (Last. First & Middle) Date of Birth (mmiddlyyyy) EPSTEIN, JEFFREY EDWARD 01/20/1953 12. Height 13. Hair Color 14. Eye Color 5ft. 1.1.1.n. GRAY BLUE 15. Occupatio
. citizens and non•citizen nationals abroad. More information on the Routine Uses for the system can be found in System of Records Notices State•05. Overseas Citizen Services Records and State-26. Passport Records. DISCLOSURE: Providing your Social Security number and the other information on this form is voluntary, but failure
Office Only —0 , Bk Fee Cd Fee. EF Postage Other 1111111 11111 Date DS-82 08-2013 Page 1 of 2 EFTA00296116 Name of Applicant (Last. First & Middle) Date of Birth (mmfddiyyyy) EPSTEIN, JEFFREY EDWARD 01/20/1953 12. Height 13. Hair Color 14. Eye Color 5ft. GRAY BLUE 15. Occupation 16. E
. citizens and non•citizen nationals abroad. More information on the Routine Uses for the system can be found in System of Records Notices State•05. Overseas Citizen Services Records and State-26. Passport Records. DISCLOSURE: Providing your Social Security number and the other information on this form is voluntary, but failure
111 11 For Issuing Office Only —0 , Bk Fee Cd Fee. EF Postage Other. DS-82 08-2013 Page I of 2 EFTA00296128 Name of Applicant (Last. First & Middle) Date of Birth (mmiddiyyyy) EPSTEIN, JEFFREY EDWARD 01/20/1953 12. Height 13. Hair Color 14. Eye Color set llin. GRAY BLUE 15. Occupation
s relative to the Privacy Act (Public Notice 6290 of July 15. 2008) and the listing of routine users set forth in the System of Records Notices for Overseas Citizen Services Records (State-05) and Passport Records (State-26) published in the Federal Register. Your social security numbers will be provided to the U.S. Department o
IIII 1 For Issuing Once Onty —le Bk Fee. Cd Fee. EF Postage Other. DS-82 12-2010 Page 1 of 2 EFTA00523273 Name of Applicant (Last. First & Middle) Date of Birth (mmiddlyyyy) 12. Height 13. Hair Color 14. Eye Color 15. Occupation 16. Employer or School (if applicable) 17. Additional Conta
. citizens and non•citizen nationals abroad. More information on the Routine Uses for the system can be found in System of Records Notices State•05. Overseas Citizen Services Records and State-26. Passport Records. DISCLOSURE: Providing your Social Security number and the other information on this form is voluntary, but failure
3(s_ 111 11 For Issuing Office Only Bk Fee _ Cd Fee EF Postage Other DS-82 08-2013 Page I of 2 EFTA00296104 Name of Applicant (Last. First & Middle) Date of Birth (nmiddlyyyy) EPSTEIN, JEFFREY EDWARD 01/20/1953 12. Height 13. Hair Color 14. Eye Color 5ft. GRAY BLUE 15. Occupation 16. E
. citizens and non•citizen nationals abroad. More information on the Routine Uses for the system can be found in System of Records Notices State•05. Overseas Citizen Services Records and State-26. Passport Records. DISCLOSURE: Providing your Social Security number and the other information on this form is voluntary, but failure
For Issuing Office Only —le Bk Fee Cd Fee EF Postage Other. DS SIB S2 DS-82 08-2013 Page 1 of 2 EFTA00298136 Name of Applicant (Last. First & Middle) Date of Birth (mni/ddlyyyy) EPSTEIN, JEFFREY EDWARD 01/20/1953 12. Height 13. Hair Color 14. Eye Color Sit. llin. GRAY BLUE 15. Occupatio
Entities connected to both Overseas Citizen Services Records and First & Middle
National Passport Processing Center
ORGANIZATION
Jeffrey Epstein
PERSON
Philadelphia
LOCATIONPassport Records
ORGANIZATIONthe Federal Claims Collection Standards
ORGANIZATIONSTATE DEPARTMENT FACILITY
ORGANIZATIONJane Doe
PERSON
Birth
PERSONLeon Black
PERSONTHE TRADITIONAL PASSPORT BOOK
ORGANIZATIONU.S. PASSPORT RENEWAL APPLICATION
ORGANIZATION
BERMUDA
ORGANIZATIONA U.S. PASSPORT ISSUED
ORGANIZATIONTHE U.S. PASSPORT CARD
ORGANIZATIONINTERNATIONAL AIR TRAVEL
ORGANIZATIONDarren Indyke
PERSONFiledtoun
PERSONOffice of Program Management and Operational Support
ORGANIZATIONPassport Services
ORGANIZATIONOVFRNIGHT
ORGANIZATION